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General NPI Number Information
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NPI Number | 1942310669
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Entity Type | Individual
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Provider Name | RAYBURN MARC STRANGE LPC, LCAS, CSI
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Gender | Male
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Dates
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Enumeration Date | 08/30/2006
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Last Update Date | 10/30/2007
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Provider Practice Location Address
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Address Line | 400 ROBERSON ST HORIZONS PROGRAM
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City | CARRBORO
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State | NC
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Zip | 27510-2367
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Country | US
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Telephone | 919-960-3775
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Fax | 919-960-3799
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Provider Business Mailing Address
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Address Line | PO BOX 9438 HORIZONS PROGRAM
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City | CHAPEL HILL
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State | NC
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Zip | 27515-9438
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Country | US
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Telephone | 919-960-3775
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2107
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License Number State | NC
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